Health-related quality of life of trauma patients after intensive care: a two-year follow-up study
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Affiliated Hospital of Zunyi Medical College
Purpose: This study aimed to assess health-related quality of life (HRQOL) in trauma patients two years after discharge from an intensive care unit (ICU) in Zunyi, China and to investigate possible determinants of HRQOL.
Materials and Methods: A total of 436 trauma patients treated in ICU were followed up for two years. The Medical Outcome Short Form 36 (SF-36) was used to measure the quality of life one year and two years after their discharge.
Results: After a two-year follow up, there were totally 347 (79.6%) survivors. From one year to two years after discharge, HRQOL improved in one physical health domain and three mental health domains. Logistic regression showed female patients had lower MCS scores (RR = 1.9, 95% CI: 1.2 ~3.0). Patients older than 40 had lower scores in PCS (RR = 1.7, 95% CI: 1.1 ~ 2.7). Patients who stayedin ICU longer than 7 days had lower PCS scores (RR = 1.6, 95% CI: 1.0 ~2.5). Association between headinju ry and low MCS scores was statistically significant (RR = 1.8, 95% CI: 1.1 ~2.9). Patients with ISS >24 had lower scores in PCS (RR = 1.9, 95% CI: 1.2 ~3.1).
Conclusions: The HRQOL of a group of Chinese trauma patients after ICU treatment improved from one year to two years after discharge. Age, sex, length of ICU stay, ISS, and existence of head injury were associated with physical or mental HRQOL after discharge. Further studies with more measurements and larger sample sizes are still warranted.
Materials and Methods: A total of 436 trauma patients treated in ICU were followed up for two years. The Medical Outcome Short Form 36 (SF-36) was used to measure the quality of life one year and two years after their discharge.
Results: After a two-year follow up, there were totally 347 (79.6%) survivors. From one year to two years after discharge, HRQOL improved in one physical health domain and three mental health domains. Logistic regression showed female patients had lower MCS scores (RR = 1.9, 95% CI: 1.2 ~3.0). Patients older than 40 had lower scores in PCS (RR = 1.7, 95% CI: 1.1 ~ 2.7). Patients who stayedin ICU longer than 7 days had lower PCS scores (RR = 1.6, 95% CI: 1.0 ~2.5). Association between headinju ry and low MCS scores was statistically significant (RR = 1.8, 95% CI: 1.1 ~2.9). Patients with ISS >24 had lower scores in PCS (RR = 1.9, 95% CI: 1.2 ~3.1).
Conclusions: The HRQOL of a group of Chinese trauma patients after ICU treatment improved from one year to two years after discharge. Age, sex, length of ICU stay, ISS, and existence of head injury were associated with physical or mental HRQOL after discharge. Further studies with more measurements and larger sample sizes are still warranted.
